Medical Billing Clerk Job Description [Updated for 2024]

medical billing clerk job description

In the modern healthcare industry, the role of medical billing clerks is crucial.

As healthcare continues to evolve, the demand for meticulous minds who can manage, streamline, and safeguard our billing processes grows.

But let’s delve deeper: What’s truly expected from a medical billing clerk?

Whether you are:

A job seeker trying to understand the core responsibilities of this role,
A hiring manager outlining the perfect candidate,
Or simply curious about the intricacies of medical billing,

You’re in the right place.

Today, we reveal a customizable medical billing clerk job description template, designed for easy posting on job boards or career sites.

Let’s get started.

Contents show

Medical Billing Clerk Duties and Responsibilities

Medical Billing Clerks are responsible for handling and overseeing all billing and coding related tasks in a healthcare setting.

They must have a strong understanding of medical terminology, billing procedures, and insurance policies.

The daily duties and responsibilities of a Medical Billing Clerk include:

Reviewing medical procedures as documented by physicians
Translating medical procedures into codes that can be translated by payers, other medical coders, and various medical facilities
Transmitting coded patient treatment information to payers and other recipients
Coordinating insurance reimbursement of care providers
Handling patient billing disputes and negotiate with health insurance companies on behalf of patients
Maintaining and updating patient records with billing information
Assisting in the preparation of invoices and billing statements
Ensuring all assigned codes meet all federal legal and insurance rules
Adhering to confidentiality and data analysis legal requirements

Medical Billing Clerk Job Description Template

Job Brief

We are seeking a detail-oriented Medical Billing Clerk to join our healthcare team.

This role involves handling patient billing, dealing with insurance claims, updating patient records, and keeping track of unpaid accounts.

The ideal candidate will have experience with medical coding and a thorough understanding of medical billing procedures.

Familiarity with medical terminology and excellent organizational skills are essential for this role.

Responsibilities

Handle all patient billing inquiries and process payments
Prepare and submit insurance claims
Update patient records with billing information and insurance codes
Follow up on unpaid accounts and resolve any billing discrepancies
Coordinate with healthcare providers and insurance companies to ensure accurate billing
Maintain confidentiality of patient information
Keep accurate records of patient billing and payment history
Assist with other administrative tasks as required

Qualifications

Proven experience as a Medical Billing Clerk or similar role in a healthcare setting
Familiarity with medical billing procedures, codes, and terminology
Proficiency with billing software and MS Office
Excellent organizational and multitasking abilities
Attention to detail and problem-solving skills
High school diploma; additional certification in Medical Administration is a plus

Benefits

401(k)
Health insurance
Dental insurance
Retirement plan
Paid time off
Professional development opportunities

Additional Information

Job Title: Medical Billing Clerk
Work Environment: Office setting within a healthcare facility
Reporting Structure: Reports to the Billing Manager or Office Manager
Salary: Salary is based upon candidate experience and qualifications, as well as market and business considerations
Pay Range: $34,000 minimum to $52,000 maximum
Location: [City, State] (specify the location or indicate if remote)
Employment Type: Full-time
Equal Opportunity Statement: We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Application Instructions: Please submit your resume and a cover letter outlining your qualifications and experience to [email address or application portal].

What Does a Medical Billing Clerk Do?

Medical Billing Clerks work in healthcare facilities such as hospitals, clinics, and nursing homes, or for third-party medical billing companies.

They are responsible for managing patient bills and handling insurance claims.

They compile, compute, and record billing, accounting, statistical, and other numerical data for billing purposes.

Their job involves preparing billing invoices for services rendered, reviewing medical codes, and ensuring all charges are accurately captured.

They also check the accuracy of insurance claims and assist in resolving any discrepancies.

They work closely with insurance companies, healthcare providers, and patients to ensure that all bills are paid in a timely and accurate manner.

Medical Billing Clerks often deal with sensitive patient information and therefore must adhere to strict confidentiality and data protection regulations.

They are also responsible for responding to patient inquiries about billing, explaining charges, and providing necessary documentation.

In some cases, they may need to set up payment plans or refer patients to appropriate financial assistance programs.

In addition, they keep track of account balances and overdue payments, and report these situations to the management for further action.

Medical Billing Clerk Qualifications and Skills

A proficient Medical Billing Clerk should have the skills and qualifications that fulfill the job requirements, including:

Knowledge of medical terminology, billing procedures, and insurance policies to accurately process patient billing and insurance claims.
Excellent attention to detail and organizational skills to ensure the accuracy of billing data and to track and manage patient accounts.
Strong numerical skills to accurately calculate charges, discounts, and insurance co-pays.
Proficiency in using medical software and office equipment for data entry, report generation, and managing patient records.
Excellent communication skills to interact with patients, medical professionals, and insurance companies, and to resolve any issues or discrepancies in billing.
Problem-solving skills to handle disputes and discrepancies in patient accounts and insurance claims.
Understanding of medical ethics and privacy laws to ensure the confidentiality of patient information.
Ability to multitask and manage time efficiently in a fast-paced environment.

Medical Billing Clerk Experience Requirements

Entry-level candidates for Medical Billing Clerk positions usually have at least 1 to 2 years of experience, often obtained through an internship, part-time role, or coursework in a medical billing or health information technology program.

This experience might be gained through roles such as Medical Records Clerk, Medical Coding Specialist, or Health Information Technician.

Candidates with more than 3 years of experience have often honed their skills and knowledge in entry-level Medical Billing Clerk roles or similar positions.

They are typically familiar with a variety of medical billing systems and have experience in coding, data entry, and dealing with insurance claims.

Those with more than 5 years of experience in the field are often considered seasoned professionals.

They may have experience dealing with a variety of complex medical billing scenarios and may have developed a thorough understanding of the healthcare reimbursement process.

These individuals may also have leadership experience and may be ready for a managerial or supervisory role in medical billing and coding.

Medical Billing Clerk Education and Training Requirements

Medical Billing Clerks typically require a high school diploma or equivalent as their minimum educational requirement.

However, most employers prefer candidates who have completed a postsecondary education program in medical billing, medical coding, or a related field.

These programs offer courses in medical terminology, anatomy and physiology, health data requirements and standards, classification and coding systems, healthcare reimbursement methods, database security and management, and computer systems.

Successful completion of these programs often leads to a certificate or diploma.

In addition to educational qualifications, many employers prefer Medical Billing Clerks to have professional certification.

The Certified Professional Biller (CPB) and the Certified Coding Associate (CCA) are widely recognized credentials in the field.

To stay updated with the changing healthcare laws, regulations, and insurance and coding details, Medical Billing Clerks should partake in continuous education and training programs.

While not essential, experience in healthcare administration, knowledge of medical software, and proficiency in relevant computer applications are also beneficial.

Strong communication skills, attention to detail, and organizational abilities are other critical skills required for this role.

Medical Billing Clerk Salary Expectations

A Medical Billing Clerk can expect to earn an average of $37,128 (USD) per year.

The exact salary may fluctuate based on factors such as years of experience, location, and the specific healthcare organization they work for.

Medical Billing Clerk Job Description FAQs

What skills does a Medical Billing Clerk need?

A Medical Billing Clerk should have a strong understanding of medical coding and terminology, as well as excellent data entry skills.

Attention to detail, the ability to prioritize tasks, and good problem-solving abilities are all essential.

They should also have strong communication skills to liaise with healthcare professionals and insurance companies, and a good understanding of billing procedures.

Do Medical Billing Clerks need a specific degree?

Medical Billing Clerks don’t need a specific degree, but most employers require a high school diploma or GED.

Some positions may require a postsecondary certificate or associate’s degree in medical billing and coding.

A thorough understanding of medical terminology, billing procedures, and various insurance plans is also crucial.

What should you look for in a Medical Billing Clerk resume?

A Medical Billing Clerk resume should showcase a candidate’s understanding of medical coding and billing procedures.

Look for experience in dealing with insurance companies and healthcare providers.

Proficiency with electronic health records (EHR) systems and medical billing software is a major plus.

Also, it’s beneficial if they’ve had any training or certification in medical billing and coding.

What qualities make a good Medical Billing Clerk?

A good Medical Billing Clerk is accurate, detail-oriented, and organized as they handle sensitive data and are responsible for the accuracy of billing records.

They should have strong communication skills for dealing with insurance companies and healthcare providers.

Integrity and discretion are also important as they handle confidential patient information.

Is it difficult to hire Medical Billing Clerks?

Hiring a Medical Billing Clerk can be challenging due to the specialized nature of the role.

This role requires a deep understanding of medical coding and billing procedures, as well as experience with EHR systems and medical billing software.

However, with a well-written job description, it can be easier to attract qualified candidates.

Conclusion

So there you have it.

Today, we’ve unmasked the true essence of being a medical billing clerk.

It’s not just about handling invoices.

It’s about sculpting the future of healthcare, one billing record at a time.

With our go-to medical billing clerk job description template and real-world examples, you’re prepared to take the leap.

But why stop there?

Venture further with our job description generator. It’s your next step to precisely tailored job listings or refining your resume to perfection.

Every billing record is a piece of a larger healthcare puzzle.

Let’s shape that future. Together.

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